Common use of Record Retention and Audit Clause in Contracts

Record Retention and Audit. (a) The MA Health Plan agrees to maintain, and require its subcontractors to maintain, supporting information and documents that are adequate to ensure that payment is made in accordance with applicable federal and state requirements. These documents, including all original claims forms, will be maintained and retained by the MA Health Plan or its subcontractors for a period of ten (10) years after the expiration of the contract period or until the resolution of all litigation, claim, financial management review, or audit pertaining to this Agreement, whichever is longer. The MA Health Plan agrees to timely repay any undisputed audit exceptions taken by HHSC in any audit of the Agreement. (b) If HHSC determines that it has overpaid the MA Health Plan, HHSC will provide the MA Health Plan with written notice of the overpayment, including the amount of overpayment and supporting information. The MA Health Plan must promptly pay HHSC the amount of any undisputed overpayment the MA Health Plan owes HHSC, plus interest. Interest on this amount will be calculated from the date of receipt by the MA Health Plan of the undisputed overpaid amount until the date of payment to HHSC, and will be calculated at the Departm 13-week bills) for the week in which liability is assessed. In the event an audit reveals an overpayment must reimburse HHSC for all costs of the audit. Providers.

Record Retention and Audit. (a) The MA Health Plan agrees to maintain, and require its subcontractors to maintain, supporting information and documents that are adequate to ensure that payment is made in accordance with applicable federal and state requirements. These documents, including all original claims forms, will be maintained and retained by the MA Health Plan or its subcontractors for a period of ten (10) years after the expiration of the contract period or until the resolution of all litigation, claim, financial management review, or audit pertaining to this Agreement, whichever is longer. The MA Health Plan agrees to timely repay any undisputed audit exceptions taken by HHSC in any audit of the Agreement. (b) If HHSC determines that it has overpaid the MA Health Plan, HHSC will provide the MA Health Plan with written notice of the overpayment, including the amount of overpayment and supporting information. The MA Health Plan must promptly pay HHSC the amount of any undisputed overpayment the MA Health Plan owes HHSC, plus interest. Interest on this amount will be calculated from the date of receipt by the MA Health Plan of the undisputed overpaid amount until the date of payment to HHSC, and will be calculated at the Departm 13-week bills) for the week in which liability is assessed. In the event an audit reveals an overpayment must reimburse HHSC for all costs of the audit. . (c) For purposes of Providers.

Record Retention and Audit. (a) The MA Health Plan agrees to maintain, and require its subcontractors to maintain, supporting information and documents that are adequate to ensure that payment is made in accordance with applicable federal and state requirements. These documents, including all original claims forms, will be maintained and retained by the MA Health Plan or its subcontractors for a period of ten (10) years after the expiration of the contract period or until the resolution of all litigation, claim, financial management review, or audit pertaining to this Agreement, whichever is longer. The MA Health Plan agrees to timely repay any undisputed audit exceptions taken by HHSC in any audit of the Agreement. (b) If HHSC determines that it has overpaid the MA Health Plan, HHSC will provide the MA Health Plan with written notice of the overpayment, including the amount of overpayment and supporting information. The MA Health Plan must promptly pay HHSC the amount of any undisputed overpayment the MA Health Plan owes HHSC, plus interest. Interest on this amount will be calculated from the date of receipt by the MA Health Plan of the undisputed overpaid amount until the date of payment to HHSC, and will be calculated at the Departm wil 13-week bills) for the week in which liability is assessed. In the event an audit reveals an overpayment caused in whole or in part by the MA Health Plan must reimburse HHSC for all costs of the audit. Providers.